IPACHTE# 15-S-Lf4Harnett County Department of Public Health 30088
Improvement Permit
A building permit cannot be issued with only an Improvement Permit \
`� PROPERTY LOCATION: (`YlclovCS (Lc CA.� ( SrL l 111
ISSUED TO: C Vyl rt. ea C.a) EC,a C SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION 11Type of Structure: 3Cdn- 14)y i3C S Su--W-A 0
Proposed Wastewater System T pe: aS%>
Projected Daily Flow: -1&0 GPD
Number of bedrooms: �� Number of Occupants: max
Site Improvements required prior to Construction Authorization Issuance:
Basement ❑Yes o
Pump Required: ❑Yes ❑ No�af�'M y 'hem ited based on final location and elevations of facilities
Type of Water Supply: ❑ Community f Public ❑ Well Distance from well r"X feet
Permit conditions:
Permit valid for.
Pl'ive�years
❑ No expiration
Authorized State Agent:: Lr� Date: J-4 1 IS I R0IP,� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iuuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement Permit shall not he affected by a change in ownership of the sire. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1956. and .1959 are incorporated by references into this permit and shall he met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: Ghcas�4x, PROPERTY LOCATION: mt; it aS Q-C� 5211 4
SUBDIVISION LOT #
Facility Type: 382 I Ll K t ti:>MIA 0New ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" c\ 5 4- " (Initial) Wastewater Flow: 3G U GPD
(See note below, if applicable ❑)
Pornp A=C> Qt6 r rfol. S,5 (Repair)
Installation Requirements/Conditions Number of trenches —1
Septic Tank Size 1 C i—) gallons Exact length of each trench 1 (mC> feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour 1
ou�r at a Soil Cover. I —� inches
�/
Maximum Trench Depth of: �9 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36' above the trench bottom)
in all directions)
Pump Requirements: h. TDM vs. GPM Ninches below pipe
Aggregate Depth: N ia' inches above pipe
Conditions: Su—WA (Jr-f,A..W Mai OA;-c-r1q, Cottle j 1a4r'-4- jz� inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / undeertmof the system type speciled is different from the type spealed on the application. / accept the soecihinatims of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This
19nsD0ehbb Aushoneabon is subject to compliance who the provisions of the Laws and Rules hr Sewage Treatment and Disposal and to the conditions of this permit. ltt AI IALHtU lilt )1,[11.11
Authorized State Agent: % �'� ` Date: ' 4kyI I ai(b
Construction Authorization Expiration Date: o4ItabcQ3
HTE # 1 S "5 A 4,35C, Permit # 30(056
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: TAU rks
ISSUED TO: Cc�� i�J(1 Mti�'Vi> SUBDIVISION LOT— #
Authorized State Agent:
A.t�orzKl.., C..�tG2t r.1
T<7 & A,2.lCS (L�
Date: Oq k 1 a ll apli?
/ MSEc -\ USS 1
��M� l�S;�iCG;n rn4J
�-FC e C,� �• r1K`
Cc,tt-\c�r � jk�au�
CtOi�nws mw�� Ssn�\1
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: — A li int•.t,1nlr'e5 U SGA M.�-
Address: Q'�qf�-SILP�S/LI11� Date Evaluated: �I1a
Proposed Facility: e3n 54*aDesign Flow (.1949): 1360 0Q
Location of Site: /Property Recorded: rKj
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: Auger Bo ' g ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 1%.43
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN J
.1956
Sapro
Class
.1944
Restr
Horiz
of
L "Z)
C),
&4- 1_s
✓r2 'ga
Q5
Vf& P,5L t
15
z 5Sf( 5r�
7.SY2�11@tt
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o
Description Initial Repair System Other Factors (.1946):
Available Space(. 1945
System Site Classification (.1948):
) Evaluated By:
S stem T e(s)pk
Others Present:
Site LTAR